NUR 265
FINAL EXAM
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Final Exam Medical-Surgical Nursing
(Galen College) including 50 Tested questions
written to mirror actual course exams. Covers core
Med-Surg concepts with clear, accurate, and
student-friendly explanations. Perfect for mastering high-priority
topics and boosting exam confidence.
,1. A patient that is considered high risk for falls and won’t stay in bed,
the doctor has placed an order for side rail restraints. What side rails
should the nurse use?
a) 1 full length rail
b) 2 half-length rails
c) 2 full-length rails
d) No rails, only bed alarms
Correct Answer: c) 2 full-length rails
Rationale: Full-length side rails provide maximum restraint and prevent the
patient from falling out of bed. Half-length rails may not be sufficient to
prevent falls in high-risk patients. However, restraints must always be used
in accordance with hospital policy and ethical guidelines, ensuring patient
safety and dignity.
---
2. You have an older male patient who is high risk for falls. What
intervention does the nurse initiate first?
a) Provide a urinal and call light assistance
b) Apply full side rail restraints
c) Restrict patient mobility to bedrest
d) Administer sedative medication
Correct Answer: a) Provide a urinal and call light assistance
Rationale: Older adults at risk for falls are often trying to get out of bed to
use the bathroom. Providing a urinal and call light within reach reduces the
need to get up unassisted, which is a common cause of falls.
---
, 3. Working with a newly hired nurse and a patient has fallen and been
injured, what requires immediate follow-up by the charge nurse
regarding the newly hired nurse's actions?
a) Documenting the fall promptly
b) Patient trying to reach for the wheelchair after using the bedside
commode
c) Ordering x-rays after the fall
d) Notifying the family about the fall
Correct Answer: b) Patient trying to reach for the wheelchair after using
the bedside commode
Rationale: The newly hired nurse should have anticipated the patient’s
need for assistance and ensured the patient used safety measures, such
as having assistance when moving from the bedside commode to the
wheelchair. This indicates a lapse in fall prevention measures requiring
immediate review.
---
4. A newly hired nurse has a patient with mobility and gait issues who
needs to be observed for fall risk. Which observation indicates a fall
risk?
a) Patient has steady gait walking
b) Shuffling gait up and down the hallway
c) Patient uses a wheelchair exclusively
d) Walking with assistance from one person
Correct Answer: b) Shuffling gait up and down the hallway
Rationale: A shuffling gait is a classic sign of impaired balance and
mobility, increasing the risk for falls. Identifying this early allows for
appropriate fall prevention interventions.
---
FINAL EXAM
Medical-Surgical Nursing
Galen College of Nursing
Tested Qs & Verified Answers with Rationales
This Exam Features:
NUR 265 Final Exam Medical-Surgical Nursing
(Galen College) including 50 Tested questions
written to mirror actual course exams. Covers core
Med-Surg concepts with clear, accurate, and
student-friendly explanations. Perfect for mastering high-priority
topics and boosting exam confidence.
,1. A patient that is considered high risk for falls and won’t stay in bed,
the doctor has placed an order for side rail restraints. What side rails
should the nurse use?
a) 1 full length rail
b) 2 half-length rails
c) 2 full-length rails
d) No rails, only bed alarms
Correct Answer: c) 2 full-length rails
Rationale: Full-length side rails provide maximum restraint and prevent the
patient from falling out of bed. Half-length rails may not be sufficient to
prevent falls in high-risk patients. However, restraints must always be used
in accordance with hospital policy and ethical guidelines, ensuring patient
safety and dignity.
---
2. You have an older male patient who is high risk for falls. What
intervention does the nurse initiate first?
a) Provide a urinal and call light assistance
b) Apply full side rail restraints
c) Restrict patient mobility to bedrest
d) Administer sedative medication
Correct Answer: a) Provide a urinal and call light assistance
Rationale: Older adults at risk for falls are often trying to get out of bed to
use the bathroom. Providing a urinal and call light within reach reduces the
need to get up unassisted, which is a common cause of falls.
---
, 3. Working with a newly hired nurse and a patient has fallen and been
injured, what requires immediate follow-up by the charge nurse
regarding the newly hired nurse's actions?
a) Documenting the fall promptly
b) Patient trying to reach for the wheelchair after using the bedside
commode
c) Ordering x-rays after the fall
d) Notifying the family about the fall
Correct Answer: b) Patient trying to reach for the wheelchair after using
the bedside commode
Rationale: The newly hired nurse should have anticipated the patient’s
need for assistance and ensured the patient used safety measures, such
as having assistance when moving from the bedside commode to the
wheelchair. This indicates a lapse in fall prevention measures requiring
immediate review.
---
4. A newly hired nurse has a patient with mobility and gait issues who
needs to be observed for fall risk. Which observation indicates a fall
risk?
a) Patient has steady gait walking
b) Shuffling gait up and down the hallway
c) Patient uses a wheelchair exclusively
d) Walking with assistance from one person
Correct Answer: b) Shuffling gait up and down the hallway
Rationale: A shuffling gait is a classic sign of impaired balance and
mobility, increasing the risk for falls. Identifying this early allows for
appropriate fall prevention interventions.
---
